Hi, I'm trying to find some advice for my mum who has just had a small stroke while on alimta.
She is a 71 year old never smoker who was diagnosed with stage 4 adenocarcinoma of the lung in June 2015. The cancer is mostly in her right lung, with small mets to the left lung, and also spread to a few lymph glands.
She joined a trial for pembrolizumab, and got put on the 'standard treatment' arm of the trial, which means she received carboplatin/alimta therapy (and alimta maintenance) until there is progression of the cancer and then she switches over to pembrolizumab.
She had 4 cycles of carboplatin/alimta therapy with good results in shrinking the cancer, and then has carried on with alimta only maintenance therapy since then, again with good results.
She had a CT scan of her head last week because she had been having headaches. There were no brain cancer mets, but there was a recent stroke in the territory of the ACA (anterior cerebral artery) in the anterior cingulum. She had no symptoms from the stroke apart from a bad headache and some temporary blurring of vision in her right eye.
The problem now is that oncology is saying they have a rule that after a stroke they will not give any chemo for 6 months. So mum can't continue with her alimta maintenance, and also will probably not be able to carry on in the trial anymore. And they won't switch her over to pembrolizumab because there has to be more than 30% progression of the cancer, and hers has shrunk and is now stable.
(Continued in next post because I've reached the character limit! ..............................................)